Profile

  • Financial data for hospital cost report period ending 12/31/2021 (HCRIS - 2010).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2022 (Final rule MedPAR).
  • Medicare OPPS claims data are for calendar year ending 12/31/2022 (Proposed rule OPPS).
  • Data from other sources and their effective periods are identified within report headers.
  • Errata: Please notify us by email of any corrections or updates.

Sample Hospital

Louisville, KY  11111
CMS Certification Number: 000000
Sample Report | Order Information

Identification and Characteristics

Name and Address Sample Hospital
1 Main Street
Louisville, KY  11111
Telephone number (555) 555-5555
Hospital Website ahd.com
CMS Certification Number 000000
Operating Status Operating
   
Type of Facility Short Term Acute Care
Sole Community Hospital (SCH) N
Rural Referral Center N
Low Volume Hospital N
Medicare Dependent Hospital N
Participates in 340B Y
Type of Control Voluntary Nonprofit, Other
Health Care System Sample System
Louisville, KY 
System Website ahd.com
   
General Med/Surg Beds 1,124
Special Care Beds 341
   
Total Employees 8,069
Total Discharges 76,823
Total Patient Days 386,095
Total Patient Revenue $9,593,724,018
   
County (FIPS code) KY111 - Jefferson, KY
CBSA (formerly MSA) 31140 - Louisville/Jefferson County, KY-IN
Latitude / Longitude 33°16'N / 104°33'W
Helipad No
   
Medicare Administrative Contractor (MAC) CGS Administrators, LLC
CMS Urban / Rural Designation Urban
Medicare Certified Beds 1,730
Notes

This map is for general reference and should not be used in seeking medical care.

Operational Trends
Use a five-year view of Profile statistics to spot trends
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Profile Compare
Compare Profile information with national averages or designated peer groups.
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System Compare
Enable side-by-side system comparisons with aggregated Profile and Financial information
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Key Contacts

CEO / President / Administrator Sherman T. Potter
CFO / Financial Manager Franklin D. Burns
CIO / IT Manager John Francis Xavier McIntyre
CMO / Chief of Staff Dr. Benjamin F. Pierce
CNO / Director Nursing H.L. Houlihan
COO / Operations Manager Maxwell Q. Klinger
Purchasing / Materials Manager Walter Eugene O'Reilly

Tax ID / EIN

Insurer EIN Associated NPIs
Aetna XX-XXXXXXX 0000000000
Anthem XX-XXXXXXX 0000000000
Cigna XX-XXXXXXX 0000000000
Humana XX-XXXXXXX 0000000000
Kaiser Permanente XX-XXXXXXX 0000000000
Kaiser Permanente XX-XXXXXXX 0000000000
United Healthcare XX-XXXXXXX 0000000000

Board of Directors/Governance Members

  • PECOS information last updated 07/01/2023 / Definitions
Name Role Title
############### Director Board Member
############### Director Board Member
############# Director President & Ceo
############# Director Board Member
########## Director
################ Director Board Member
############ Director Board Member
############ Director Board Member
############### Director Board Member
############ Director Board Member
############### Director Board Member
############ Director Board Member
############## Director Board Member
############ Director Board Member
################# Director Board Member
############## Director Board Member
################# Director Board Member
################## Director Board Member
################ Director Board Member
############# Director Board Member
############## Director Board Member
############### Director Board Member
############# Director Board Member

Components (Medicare Certified)

Type of Component CCN Medicare
Payment System		 Medicaid
Payment System		 Certified NPI
Hospital 000000  TEFRA None  
Hospital-Based CMHC 000000  TEFRA TEFRA  
Hospital-Based Health Clinic 000000  Other TEFRA  
Hospital-Based Health Clinic FQHC 000000  Other PPS  
Hospital-Based Health Clinic RHC 000000  TEFRA TEFRA  
Hospital-Based HHA 000000  None PPS  
Hospital-Based Hospice 000000  None None  
Hospital-Based NF 000000  Other Other  
Hospital-Based SNF 000000  Other Other  
Other Component 000000  TEFRA None  
Outpatient Rehab Clinic 000000  None TEFRA  
Psych Subprovider 000000  None None  
Rehab Subprovider 000000  None PPS  
Renal Dialysis 000000  PPS TEFRA  
Separately Certified ASC 000000  Other None  
Subprovider 000000  PPS PPS  
Swing Beds - NF 000000  PPS TEFRA  
Swing Beds - SNF 000000  Other TEFRA  

Billing NPIs

  • NPI information last Updated 07/09/2023. / Definitions
  • Medicare IPPS claims data are for 4 quarters ending on 03/31/2023 (Inpatient SAF).
NPI Component Type Claims Name Address Telephone
0000000000 Hospital 3,041 ####################
##########################		 ###########################
##########, ##  #####-####		 (###) ###-####
0000000000 Hospital 4,462 #####################
#######################		 ##################
##########, ##  #####-####		 (###) ###-####
0000000000 Hospital 2,396 #####################
#####################################		 #################
##########, ##  #####-####		 (###) ###-####
0000000000 Hospital 2,749 #####################
###############		 #################
##########, ##  #####-####		 (###) ###-####

Associated NPIs

+ Show 1 Associated NPIs
NPI Name Address Telephone
000000 Sample NPI 2 2007 Main Street
Louisville, KY  93498		 (555) 555-5555
000000 Sample NPI 3 3081 Main Street
Louisville, KY  27375		 (555) 555-5555
000000 Sample NPI 4 3698 Main Street
Louisville, KY  92872		 (555) 555-5555
000000 Sample NPI 5 5435 Main Street
Louisville, KY  86229		 (555) 555-5555

Group Purchasing Organizations (GPOs)

Primary
2 Main Street, Louisville, KY  11111
Phone: 5555555555

Accountable Care Organizations (ACOs)

Sample ACO
ahd.com
Sample ACO
ahd.com

Electronic Health Record System (EHR)

  • Company: Electronic Health Record Company

Utilization Statistics by Payor

  Beds Revenue Inpatient Days
Medicare Medicaid Other Total
Routine Services 1,124 $502,354,003 61,462 4,925 210,763 277,150
Intensive Care Unit 202 $183,829,436 9,758 6,176 36,697 52,631
Coronary Intensive Care 0 $0 0 0 0 0
Burn Intensive Care 0 $0 0 0 0 0
Surgical Intensive Care 0 $0 0 0 0 0
Psychiatric Intensive Care 0 $0 0 0 0 0
Pediatric Intensive Care 0 $0 0 0 0 0
Neonatal Intensive Care 139 $174,636,752 0 177 41,267 41,444
Trauma Intensive Care 0 $0 0 0 0 0
Detox Intensive Care 0 $0 0 0 0 0
Premature Intensive Care 0 $0 0 0 0 0
Nursery $16,034,595 N/A 225 14,645 14,870
Total Acute 1,465 $876,854,786 71,220 11,503 303,372 386,095
Labor and Delivery * 0 N/A 0 432 457 889
Psychiatric DPU 0 $0 0 0 0 0
Rehabilitation DPU 0 $0 0 0 0 0
Skilled Nursing (SNF) Unit 0 $0 0 0 0 0
Nursing (NF) 0 $0 N/A 0 0 0
Swing Beds - SNF N/A N/A 0 0 0 0
Swing Beds - NF N/A N/A N/A 0 0 0
Other Sub Provider 0 $0 0 0 0 0
Total DPU 0 $0 0 0 0 0
Total Hospital 1,465 $876,854,786 71,220 11,503 303,372 386,095
  • *Days during which a maternity patient is in the labor and delivery room at midnight at the time of census taking, and not included in the census of the inpatient routine care area because the patient has not occupied an inpatient routine bed at some time before admission. These days are not included in the acute care figures above.
  Discharges / ALOS / ADC
Medicare Medicaid Other Total
Acute Discharges 12,737 1,616 62,470 76,823
Average Length of Stay 5.6 7.1 4.9 5.0
Average Daily Census 195.1 31.5 831.2 1,057.8
Psychiatric DPU Discharges 0 0 0 0
Average Length of Stay 0.0 0.0 0.0 0.0
Average Daily Census 0.0 0.0 0.0 0.0
Rehabilitation DPU Discharges 0 0 0 0
Average Length of Stay 0.0 0.0 0.0 0.0
Average Daily Census 0.0 0.0 0.0 0.0
Other DPU Discharges 0 0 0 0
Average Length of Stay 0.0 0.0 0.0 0.0
Average Daily Census 0.0 0.0 0.0 0.0
  Gross Patient Revenue
Medicare Medicaid Other Total
Total Hospital Patient Revenue $2,105,334,095 $1,971,479,235 $5,516,910,688 $9,593,724,018

HMO Utilization

  Medicare/Medicaid HMO (included in other and total above)
Medicare Days Medicaid Days Medicare Discharges Medicaid Discharges
HMO Acute 74,817 127,591 11,201 23,755
HMO Inpatient Psychiatric Facility 0 0   0
HMO Inpatient Rehab Facility 0 0   0

Estimated Patient Volumes

Inpatient Surgeries 24,400
Outpatient Surgeries 111,600
Births 7,400
Outpatient Visits 584,900
Emergency Room (Not Admitted) 67,800
Emergency Room (Admitted) 57,700

Clinical Services

Cardiovascular Services
Cardiac Cath Lab
Cardiac Rehab
Cardiac Surgery
Carotid Stenting
Coronary Interventions
Electrophysiology
Vascular Intervention
Vascular Surgery
Emergency Services
Emergency Department
Pediatric Trauma Center
Trauma Center
Neurosciences
Electroencephalography (EEG)
Sleep Studies
Oncology Services
Chemotherapy
Radiation Therapy
Organ Transplant (Medicare certified)
Heart Transplant
Intestinal Transplant
Kidney Transplant (08/01/1986)
Liver Transplant
Lung Transplant
Pancreas Transplant
Orthopedic Services
Arthroscopy
Joint Replacement
Spine Surgery
Other Services
Helipad
Hemodialysis
Home Health
Hospice
Lithotripsy (ESWL)
Obstetrics
Radiology / Nuclear Medicine / Imaging
Computed Tomography (CT)
Computed Tomography-Angiography (CTA)
Digital Mammography
Intensity-Modulated Radiation Therapy (IMRT)
Magnetic Resonance Angiography (MRA)
Magnetic Resonance Imaging (MRI)
Positron Emission Tomography (PET)
Single Photon Emission Computerized Tomography (SPECT)
Rehabilitation Services
Physical Therapy
Speech Therapy
Special Care
Burn Intensive Care (BICU)
Coronary Intensive Care (CCU)
Detox Intensive Care
Intensive Care Unit (ICU)
Neonatal Intensive Care
Pediatric Intensive Care
Premature Intensive Care
Psychiatric Intensive Care
Surgical Intensive Care (SICU)
Trauma Intensive Care
Subprovider Units
Nursing Facility (NF)
Psychiatric
Rehabilitation
Skilled Nursing (SNF)
Swing Beds - NF
Swing Beds - SNF
Surgery
Inpatient Surgery
Radiosurgery
Robotic Surgery
Wound Care
Hyperbaric Oxygen
Wound Care

DNV Hospital Accreditation

  • Accredited for the period: 1/1/2017 - 12/31/2017

Verified Trauma Program

  • Type: Level III Trauma Center
  • Type: Level II Pediatric Trauma Center

University Affiliation

No university affiliation data is available for this facility.

Teaching Status

  • Data are from multiple sources / Definitions
  • COTH data are from the Association of American Medical Colleges / Division of Health Care Affairs / Council of Teaching Hospitals
  • See COTH website for more / Last Updated 05/23/2023
  • Teaching status = Yes / Number of interns and Residents = 10 FTEs